Provider Demographics
NPI:1225145378
Name:SKARKY, STEVE BRYAN (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVE
Middle Name:BRYAN
Last Name:SKARKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12301 N WESTERN AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73114-8017
Mailing Address - Country:US
Mailing Address - Phone:405-286-9090
Mailing Address - Fax:405-848-5560
Practice Address - Street 1:12301 N WESTERN AVE STE 105
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73114-8017
Practice Address - Country:US
Practice Address - Phone:405-286-9090
Practice Address - Fax:405-962-8125
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-24
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK234642084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200076290BMedicaid
OK200076290BMedicaid